Individual provider Active NPI

Taylor Adrienne Chandler

  • Clinical Psychologist
  • Canal Winchester, OH
National Provider Identifier
1477135366
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
P.08144 Issued in OH
Practice address
7750 Diley Rd Ste a
Canal Winchester, OH 43110-7758
Phone
(614) 837-7337
NPI assigned
Apr 21, 2021
Last updated
Apr 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X P.08144 OH Primary

Addresses

Primary practice location

7750 Diley Rd Ste a
Canal Winchester, OH 43110-7758

Mailing address

7750 Diley Rd Ste a
Canal Winchester, OH 43110-7758

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P.08144OHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Assoicates, Inc. CurrentSince Jan 19, 2025 Accepting new patients
Oh Independent Medical Group LLC PastSince Apr 25, 2021 Accepting new patients

Locations

7750 Diley Rd
Ste A
Canal Winchester, OH 43110
Phone (614) 837-7337

Interoperability endpoints

  • Direct secure messaging: taylor.chandler.2@26020.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1477135366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7750 DILEY RD STE A",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431107758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7750 DILEY RD STE A",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431107758",
            "telephone_number": "614-837-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "TAYLOR",
        "middle_name": "ADRIENNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "P.08144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canal Winchester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.